NPI | 1073061750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 364552) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IA 084244) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2021-02-12 |